Organization
PERFORMANCE SPINE AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL S KANCHERLA D.O. (PHYSICIAN)
(512) 327-8800
Entity
Organization
Contact information
Practice address
4613 BEE CAVE RD STE 105, WEST LAKE HILLS, TX 78746-5206
(512) 327-8800
(512) 327-8802
Mailing address
4613 BEE CAVE RD STE 105, WEST LAKE HILLS, TX 78746-5206
(512) 327-8800
(512) 327-8802
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M6218
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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